急诊脑卒中识别评分量表在院前急救中应用效果观察.docVIP

急诊脑卒中识别评分量表在院前急救中应用效果观察 　　[摘要] 目的 探讨急诊脑卒中识别评分量表在院前急救中的应用效果情况。 方法 分析2015年2月～2016年9月我院急诊科收治的脑卒中患者80例临床资料，依据是否实施急诊脑卒中识别评分量表进行分组，对照组40例和观察组40例。观察两组脑卒中患者从呼救至实施院前急救时间、从呼救至接受专业治疗时间、致残率、死亡率及急救前后神经功能缺损评分情况。 结果 观察组脑卒中患者从呼救至实施院前急救时间（18.2±4.5）min、从呼救至接受专业治疗时间（30.1±6.7）min均低于对照组（22.8±4.0）、（42.7±5.6）min，观察组脑卒中患者致残率32.5%、死亡率5%均低于对照组45%、17.5%，两组脑卒中患者急救前神经功能缺损评分（38.5±3.8）分和（37.7±4.0）分均无明显差异（P0.05），对照组和观察组脑卒中患者急救后神经功能缺损评分（33.4±3.2）分和（25.8±2.7）分均低于急救前，观察组脑卒中患者急救后神经功能缺损评分低于对照组，差异有统计学意义（P0.05）。 结论 急诊脑卒中识别评分量表在院前急救中应用，可以提高院前急救的效率，改善患者预后水平，值得临床推广应用。 　　[关键词] 急诊；脑卒中识别评分量表；院前急救；致残率；死亡率 　　[中图分类?] R743.3 [文献标识码] A [文章编号] 2095-0616（2017）11-180-04 　　Observation of application effect of emergency stroke recognition rating scale on pre-hospital care 　　NI Jingyi LUO Huimin LIU Yanghui LIU Jiankui LI Yingying LI Kuangyi 　　Department of Emergency， Foshan Hospital of Traditional Chinese Medicine， Foshan 528000， China 　　[Abstract] Objective To explore application effect of emergency stroke recognition rating scale on pre-hospital care. Methods Clinical data of 80 patients with stroke who were admitted in department of emergency of our hospital from February 2015 to September 2016 were analyzed. They were divided into the control group and the observation group according to the implementation of emergency stroke recognition rating scale， with 40 in each. Time from calling for help to the implementation of pre-hospital care， time from calling for help to receiving professional treatment， disability rate， mortality rate and neurological deficit scores before and after first-aid. Results Time from calling for help to the implementation of pre-hospital care and time from calling for help to receiving professional treatment of patients with stroke in the observation group were （18.2±4.5） min and （30.1±6.7） min respectively， both lower than those of the control group （22.8±4.0） min and （42.7±5.6） min. Disability rate and mortality rate of patients with stroke in the observation group were respectively